ISDH

Finger Stick TrainingFinger Stick Training

Carol Thacker

Health Educator

Indiana State Department of Health

Indiana Lead and Healthy Homes Program

ISDH

ConditionsConditions

Cooperative clientCooperative client

Warm hand - rub or massage Warm hand - rub or massage

Light (same as to read)Light (same as to read)

Clean place to lay out suppliesClean place to lay out supplies

ISDH

Universal PrecautionsUniversal Precautions

Lead equipment should not be used for other tests.

All lead equipment should be kept in a dust-proof container.

Try to avoid touching equipment when transferring it into the dust-proof container.

Use powder free gloves (or be sure to rid gloves from any powder).

Wash hands before and after procedure!

ISDH

Bloodborne Bloodborne Pathogens Pathogens TrainingTraining

ISDH

Supplies RequiredSupplies Required Latex or Vinyl gloves (2) Latex or Vinyl gloves (2) Alcohol on cotton, Alcohol Prep, Alcohol on cotton, Alcohol Prep,

acetone, soap, or hand sanitizeracetone, soap, or hand sanitizer Lancet – retractable Lancet – retractable Sharps container Sharps container Collection deviceCollection device Trash container Trash container

ISDH

Supplies Good to Have Supplies Good to Have

Table coverTable cover

Band Aid, cotton ball, or 2x2 gauzeBand Aid, cotton ball, or 2x2 gauze

Clean surfaces – Lysol, Clorox, etcClean surfaces – Lysol, Clorox, etc

Clean up packet not necessaryClean up packet not necessary

ISDH

StepsSteps Clean work area – cover if possible Clean work area – cover if possible Supplies available – remove cap from Supplies available – remove cap from

microvette tubemicrovette tube GlovesGloves Clean clients finger – can reuse cottonClean clients finger – can reuse cotton Stick – side of finger pad– press firmlyStick – side of finger pad– press firmly Lancet in sharps containerLancet in sharps container Collect blood in tube and cap – place Collect blood in tube and cap – place

in safe areain safe area Stop bleeding – if anyStop bleeding – if any Clean areaClean area

ISDH

Safety ConcernsSafety Concerns

If you have an accidental stick with If you have an accidental stick with the used lancet – follow employer’s the used lancet – follow employer’s policy.policy.

You have only a few hours to get You have only a few hours to get medication into your mouth.medication into your mouth.

Transport and dispose of sharps Transport and dispose of sharps container according to employer’s container according to employer’s policy.policy.

ISDH

Collection Method Collection Method ComparisonComparison

Method Collection Pros Cons Venous Most accurate Fewer qualified personnel to draw

Negative feelings among some health care providers and parents regarding what they consider a more painful, invasive procedure.

Capillary Microvette Tube More qualified personnel Human error and inconsistent storage

Available to do the draw and cleaning procedures can result in contaminated samples and false high results.

Failure to get a “good” stick may

result in the need for additional punctures.

Filter Paper More qualified personnel Human error can result in false highs

Quicker draw Drying time

Failure to get a “good” stick may result in the need for additional punctures.